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NR509 MIDTERM EXAM|| ACTUAL STUDY GIUIDE ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+|| LATEST AND COMPLETE VERSION WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!
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NR509 MIDTERM EXAM|| ACTUAL STUDY GIUIDE ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+|| LATEST AND COMPLETE VERSION WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!

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  • 28 oktober 2024
  • 38
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1|Pag e



NR509 MIDTERM EXAM|| ACTUAL STUDY
GIUIDE ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE VERSION 2024-2025
WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
is the clinical encounter clinician-centered to patient-centered - ANSWER: both;
needs to be a balance of the clinician meeting their needs of the interaction and the
patient feeling heard and create personal dimension


patient-centered approach - ANSWER: Interviewing technique empowering the
patient to provide a candid and complete medical history


recognizes importance of patient concerns, feelings and emotions and understands
the patients personal contact of the symptoms/disease


FIFE model - ANSWER: mnemonic for patients perspective on the illness




Feelings (fears and concerns about the problem)
Ideas (about nature and cause of problem)
Functioning (effect of illness on function)
Expectations


general structure of patient encounter (5 steps) - ANSWER: initiate the encounter
gather information

,2|Pag e


perform the physical examination
explaining and planning
closing the encounter


2 frameworks that continue throughout whole clinical encounter - ANSWER:
relationship building
structuring the interview


what happens while initiating the encounter - ANSWER: greet the patient and set
the stage/preparation


what does it mean to set the stage - ANSWER: prepare for the interview
check your appearance
make sure patient is comfortable and environment is conducive to private info
being shared


what happens during the gathering information stage - ANSWER: initiate
information gathering
history of present illness
past medical history
social history
explore patients perspective of disease and relevant background information


what happens during explaining and planning - ANSWER: provide correct amount
and type of information
negotiate plan of action
shared decision making

,3|Pag e




when asking patient about there pronouns it may be helpful to.... - ANSWER:
share your own pronouns


"in an effort to promote an inclusive and respectful environment, we use pronouns
that are right for us. The pronouns I prefer are......how about you what pronouns do
you prefer?


the initial moments of your encounter lay the foundation for.... - ANSWER: your
ongoing relationship


how to establish rapport - ANSWER: introduce yourself, explain your role and
how you will be a part of their care


3 dimensions of cultural humility - ANSWER: 1) Self-awareness
2) Respectful communication
3) Collaborative partnerships


active listening - ANSWER: Closely listening to what the patient is
communicating, connecting on an emotional state to the patient.


use both verbal and nonverbal skills to encourage pt to expand on their
feelings/concerns


Empathetic responses - ANSWER: capacity to identify with a patient and feel
patients pain as your own and respond in a supportive manner


"That must have been difficult for you."

, 4|Pag e


"I understand, you're worried."
Non-verbal: offering a tissue to a crying patient; reaching out and gently touching a
patient's hand.
Therapeutic use of self: "I've had surgery before, so I can relate to what you're
going through."


guided questioning - ANSWER: Helps to continue the patients story, shows
sustained interest and allows clinician to adapt questioning based on patient i.e.:


-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing


guided questioning aka - ANSWER: adaptive questioning


nonverbal communication - ANSWER: communication using body movements,
gestures, and facial expressions rather than speech


validation - ANSWER: affirm validity of patients emotional experience


"Your accident must have been terrifying. Car accidents are always unsettling
because they remind us how vulnerable we are. Perhaps that explains why you still
feel upset,"

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